Individual
DR. JUSTIN RYAN HERCEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3570 EXECUTIVE DR, SUITE 211, UNIONTOWN, OH 44685-8712
(330) 563-4383
(330) 563-4874
Mailing address
3570 EXECUTIVE DR, GREEN, OH 44685-6713
(330) 563-4383
(330) 563-4874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078436
—
OH
01
—
1457691834
GROUP NPI
OH
01
—
1578872826
PERSONAL NPI
OH
01
—
H198420
GROUP PTAN
OH
01
—
H198421
INDIVIUAL PTAN
OH
Enumeration date
10/05/2010
Last updated
04/13/2026
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